Fuerza de adhesión de brackets a superficies de cerámica acondicionadas mediante láserrevisión sistemática

  1. Verónica García Sanz 1
  2. Carlos Bellot Arcís 1
  3. Gladys Mínguez Vega 2
  4. Vanessa Paredes Gallardo 1
  5. José Luis Gandía Franco 1
  6. Alberto Albaladejo Martínez 3
  1. 1 Universitat de Valencia. Facultad de Medicina y Odontología
  2. 2 Universitat Jaume I. Escuela Superio de Tecnología y Ciencias Experimentales
  3. 3 Universidad de Salamanca. Facultad de Medicina
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Journal:
Ortodoncia española: Boletín de la Sociedad Española de Ortodoncia

ISSN: 0210-1637

Year of publication: 2019

Volume: 57

Issue: 1

Pages: 27-42

Type: Article

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More publications in: Ortodoncia española: Boletín de la Sociedad Española de Ortodoncia

Abstract

Introduction: ceramic surface conditioning for bracket bonding is a challenging procedure and laser devices may represent an effective alternative. However, there is some controversy in this regard. Objetive: to perform a systematic review of studies which assess the bond strength of brackets to laser-conditioned ceramics. Materials and methods: an electronic search was conducted in the Pubmed, Scopus, Embase and Web of Science databases following the PRISMA criteria for systematic reviews. The search strategy used was: (laser*) AND (bond* OR adhes*) AND (ceramic* OR porcelain*) AND (strength*) AND (bracket* OR orthod*) with no temporal o language limit. Results: after applying the inclusion/exclusion criteria, 17 publications were included. Five different lasers were identifi ed. There were a wide variety of laser parameters and experimental protocols. The results of the studies show heterogeneity being the Ti:Sapphire laser bond strength values the highest. For the rest of the lasers there is lack of consensus. Risk of bias of the publications was found to be medium-high. Conclusions: lasers can be recommended as an alternative for bracket-ceramic bonding. Ti:Sapphire laser provides higher bond strengths than the rest of lasers and it is less damaging for the ceramic surfaces. It is necessary to standardize the methodology of the bracket-ceramic adhesion studies and to establish the most appropriate parameters for each laser.

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